The Health Indicators Project:
The Next 5 Years
Report from the Second
Consensus Conference on
Population Health Indicators
All rights reserved.
No part of this publication may be reproduced or transmitted in
any form or by any means, electronic or mechanical, including
photocopying, recording, or by any information storage and
retrieval system now known or to be invented, without the prior
permission in writing from the owner of the copyright, except by
a reviewer who wishes to quote brief passages in connection
with a review written for inclusion in a magazine, newspaper or
broadcast.
Requests for permission should be addressed to:
Canadian Institute for Health Information
377 Dalhousie Street, Suite 200
Ottawa, Ontario
K1N 9N8
Telephone: (613) 241-7860
Fax: (613) 241-8120
www.cihi.ca
 2005 Canadian Institute for Health Information
Cette publication est disponible en français sous le titre :
Le Projet des indicateurs de la santé : les cinq prochaines années —
Rapport de la deuxième Conférence consensuelle sur les indicateurs de la santé de la population
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference
on Population Health Indicators
Table of Contents
Executive Summary ................................................................................................. 1
Introduction ............................................................................................................ 2
The Health Indicators Project................................................................................ 2
The Consultation Process .................................................................................... 4
The Second Consensus Conference on Population Health Indicators .......................... 5
Consensus Conference Outcomes.............................................................................. 6
To Keep or To Drop ............................................................................................ 6
Equity ............................................................................................................... 9
Health Indicators: Future Development .................................................................. 9
Health Indicators In Action: Where We Are Today...................................................... 11
Moving Ahead: One Year Later and Beyond .............................................................. 12
Appendix—Participants........................................................................................... 13
June 2005
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
Executive Summary
In March 2004, Statistics Canada and the Canadian Institute for Health Information
convened the Second Consensus Conference on Population Health Indicators. Building on
results from a similar process held in 1999, participants reviewed a core set of health
indicators agreed to at the earlier conference and proposed additional indicators with a
view to providing the public, health care providers, and health authorities with reliable and
comparable data on the health of Canadians, the health care system and the determinants
of health at the regional level.
The objective of this consensus process was to guide the development and ongoing
dissemination of health indicators including:
•
Validation of the core set of health indicators decided on at the first
consensus conference;
•
Discussion of methods for incorporating the concept of equity; and
•
Identification and prioritization of future indicator development.
Conference participants confirmed the core set of health indicators with two exceptions.
The indicators Owner Occupied Dwellings and Vaginal Birth after Caesarean were dropped
as these were considered to be either difficult to interpret, redundant and/or unduly
influenced by changing standards of practice.
There was unanimous support to include equity measures across all dimensions of the
population health indicator framework as a means to improve understanding of health
related disparities. Among the various equity measures that were suggested, income was
felt to be the most important, but others, including age, gender, education, ethnicity, and
rural/urban residency, were also supported.
Finally, the need to develop indicators in several priority areas, including: home care, food
and waterborne diseases, patient safety, emergency department care, healthy lifestyles,
and air and water quality was indicated. Future indicator development will depend upon the
availability, quality and comparability of data, the identification of appropriate
methodological approaches, and ongoing work by other groups and individual jurisdictions.
Since the consensus conference, both CIHI and Statistics Canada have released new
indicators in several of the priority areas identified by participants including patient
safety and the environmental determinants of health. The groundwork is also being laid
for the development of additional prioritized indicators using both existing and emerging
data sources.
CIHI 2005
1
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
June 2005
Introduction
Interest in sound health information and health indicators, has never been higher. Health
indicators can be used to inform health policy, manage the health care system, enhance
our understanding of the broader determinants of health, as well as to identify gaps in the
health status and outcomes for specific populations. While there are an infinite number of
indicators that could be calculated, which ones are the most important to measure and
track and what types of indicators best reflect the needs of those who use them? These
and other questions were discussed at the 2004 Second Consensus Conference on
Population Health Indicators. The results of this conference, and what has happened since
then, are summarized in this report.
The Health Indicators Project
In 1999, the Canadian Institute for Health Information (CIHI) and Statistics Canada
launched a collaborative project on health indicators. The goal of the project was to
identify indicators that could be used to report on the health of Canadians and the health
system, and then to compile and make this information widely available. Ultimately,
these indicators are intended to support regional health authorities in their role of
monitoring, improving, and maintaining the health of the population and the functioning of
the health system.
As a first step and in order to gain a better understanding of the types of indicators to
develop and report, CIHI convened the First Consensus Conference on Population Health
Indicators on May 4, 1999, in cooperation with the Federal/Provincial/Territorial Advisory
Committees on Population Health and Health Services, Health Canada, and Statistics
Canada. Conference participants agreed on a conceptual model for this project, the Health
Indicator Framework (Figure 1), and provided advice for the selection of an initial core set
of indicators that could be compiled from existing data sources.
2
CIHI 2005
June 2005
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
Figure 1. The Health Indicator Framework
CIHI 2005
3
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
June 2005
The core set of indicators was selected according to the following criteria:
•
Relevant to established health goals;
•
Based on agreed upon benchmarks/guidelines;
•
Collected using standard methods/definitions and reliable sources; and
•
Feasible at the health region level.
In addition, a list of indicators that at the time did not satisfy the conditions for inclusion
but could be considered for future development was prepared.
Since this first conference, CIHI and Statistics Canada have identified data sources and
developed methods to produce indicators from both the core and future lists. At the same
time, regular consultations with the health regions, ministries, researchers and others have
resulted in ongoing development of the initial set of health indicators. For example, series
of indicators pertaining to key non-medical determinants of health and overall measures of
health status, such as cancer incidence, were added. Additional health indicators were
extracted from the Canadian Community Health Survey, including self-reported health
status, body mass index, and use of preventive measures (e.g. flu shots, mammography,
and pap smears). In-depth measures have also been developed to provide a more
comprehensive picture of health care issues (e.g. surviving a heart attack, surviving a
stroke, and unplanned returns to hospitals).
To improve access to the indicator data, as well as to extend the project reach to the
widest possible audience, the Health Indicators e-publication was created. This internet
publication, accessible from both CIHI and Statistics Canada websites, holds the entirety of
regional indicator data produced by the indicator project and is updated bi-annually.
Since the first consensus conference there have also been developments related to the
Health Indicator Framework. The Health Indicator Framework has been revised to
incorporate “Equity” as a cross-cutting dimension. The World Health Organization identified
equity as a primary health goal in the Health For All strategy (WHO, 1998). Measures of
equity can identify disparities in health status, provision of health services, clinical
outcomes, health behaviours and other non-medical determinants of health, across
different groups of a population. Finally, the International Organization for Standardization
(ISO) adopted the Health Indicator Framework as an international standard in 2003.
The Consultation Process
Five years on, Statistics Canada and CIHI agreed that it was necessary to broadly revisit
the priorities and directions for the health indicator project with representatives from the
health regions, provinces, and territories.
Building on results from the first consensus conference and subsequent regional meetings,
the consultation process was designed to inform the selection of a reliable set of
comparable health indicators that would reflect the health of Canadians, the health care
system, and the determinants of health at the health region level. Specifically, the
consultation process objectives were to validate the indicators currently being produced
and assign priorities for the development of future indicators.
4
CIHI 2005
June 2005
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
These objectives were achieved in three phases:
Phase I: Identification of information gaps: In the summer of 2003, representatives
from health regions were surveyed about the most pressing issues in their jurisdictions
and asked for feedback on the types of indicators that could be developed to monitor
these concerns.
Phase II: Validation of the core set of indicators and identification of potential new
indicators: Based on the results of the Phase I survey, a questionnaire was sent to
stakeholders seeking advice on the indicator set available at that time and the prioritization
of potential new indicators. The results of this survey were used as a basis for discussions
at the consensus conference.
Phase III: The Second Consensus Conference on Population Health Indicators. Using the
information obtained from Phases I and II, an agenda for a second consensus conference
was drawn up with an emphasis on achieving agreement in areas where divergent views
emerged from the Phase II questionnaire. Additionally, since the equity dimension was
added to the framework after the 1999 consensus conference, time was set aside to
explore this concept and how it could be measured.
The Second Consensus Conference on Population
Health Indicators
On March 25 and 26, 2004, over 75 representatives of health regions, provinces and
territories, and other stakeholder groups gathered in Ottawa for the Second Consensus
Conference on Population Health Indicators (Please refer to the Appendix for a list of
participants). In addition to a facilitated discussion stemming from the survey results, the
agenda included a plenary session to debate the application of the equity dimension to
indicator reporting.
The conference objectives were to:
•
Confirm the core set of health indicators decided on at the first consensus conference;
•
Introduce the equity dimension of the Health Indicator Framework and begin a dialogue
on the ways in which this could be measured; and
•
Identify and assign priorities for the development of future indicators.
At the request of meeting participants, a fourth objective was added:
•
To share information and knowledge about the use and application of health indicators,
particularly at the health region level.
CIHI 2005
5
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
June 2005
Consensus Conference Outcomes
To Keep or To Drop
Based on the results of the Phase II survey, respondents indicated broad support for the
majority of indicators currently reported by CIHI and Statistics Canada at the health region
level. Indicators that received less than 75% support in the survey were brought forward
for review. These included:
•
•
•
•
•
Self-esteem
Functional Health
Hysterectomy
Decision Latitude at Work
Owner-Occupied Dwellings
•
•
•
•
•
Crime Rate
Vaginal Birth after Caesarean (VBAC)
Inflow-Outflow Ratios
Coronary Artery Bypass Graft (CABG)
Potential Years of Life Lost (PYLL)
Among the ten indicators, it was agreed that Owner Occupied Dwellings and Vaginal Birth
after Caesarean be dropped. These indicators were deemed to be difficult to interpret,
redundant and/or unduly influenced by changing standards of practice. Indicators
reaffirmed at the conference are shown in Table 1.
6
CIHI 2005
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
June 2005
Table 1.
Confirmed Health Indicators
Health Status
Well-Being
• Self-rated health
• Self-esteem
•
•
•
•
•
•
•
Health Conditions
Body mass index (BMI)
Chronic conditions:
− arthritis/rheumatism
− diabetes
− asthma
− high blood pressure
− chronic pain (affect on
activities, severity)
− depression
Low birth weight
Cancer incidence
Injury hospitalization
Injuries
Food and waterborne
diseases
Human Function
• Disabilities/limitation
• Functional health
• Two-week
disability days
• Activity limitation
• Disability-free life
expectancy
•
•
•
•
•
•
•
•
•
•
•
•
Deaths
Infant mortality
Perinatal mortality
Life expectancy
Mortality by selected
causes
Total mortality
Circulatory disease deaths
Cancer deaths
Respiratory disease deaths
Suicide
Unintentional injury deaths
AIDS deaths
Potential years of life lost
(PYLL) by selected causes:
− Total
− Cancer
− Circulatory
− Respiratory
− Unintentional injuries
− Suicide
− AIDS
Non-Medical Determinants of Health
Living and Working
Conditions
Health Behaviours
• Smoking status
• Smoking initiation
• Frequency of heavy
drinking
• Leisure-time physical
activity
• Dietary practices
• Breastfeeding
•
•
•
•
•
•
•
•
•
•
•
•
CIHI 2005
High school graduates
Post-secondary graduates
Unemployment rate
Youth unemployment
Long-term unemployment
rate
Low income rate
Children in low income
families
Average personal income
Median share of income
Government transfer
income
Housing affordability
Decision latitude at work
Personal Resources
• Social support
• Life stress
Environmental Factors
• Exposure to second-hand
smoke
7
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
Table 1.
June 2005
Confirmed Health Indicators (cont’d)
Health System Performance
Acceptability
Accessibility
Appropriateness
• Influenza immunization,
65 years and over
• Screening mammography,
women aged 50–69 years
• Pap smear, women aged
18–69 years
Continuity
Effectiveness
•
•
•
•
•
•
•
•
•
•
•
Competence
• Caesarean section
Efficiency
Pertussis
Measles
Tuberculosis
HIV
Chlamydia
Pneumonia and influenza
hospitalization
Deaths due to medicallytreatable diseases:
− Bacterial infections
− Cervical cancer
− Hypertensive disease
− Pneumonia
Ambulatory care sensitive
conditions
30-day AMI in-hospital
mortality
30-day stroke in-hospital
mortality
Re-admission:
− AMI
− Asthma
− Prostatectomy
− Hysterectomy
− Pneumonia
Safety
• May not require
hospitalization
• Expected compared to
actual stay
• Hip fracture
hospitalization
• In-hospital hip fracture
Community and Health System Characteristics
Community
•
•
•
•
•
•
•
•
Population
Population density
Dependency ratio
Urban population
Aboriginal population
Immigrant population
1- and 5-year mobility
Population within strong Census
Metropolitan Area and Census
Agglomeration Influenced
Zones (MIZ)
• Lone-parent families
• Visible minorities
• Teen pregnancy
Health System
• Inflow/outflow ratio and
utilization rates:
− Coronary artery bypass graft
(CABG)
− Hip replacement
− Knee replacement
− Hysterectomy
• Contact with alternative health
care providers
• Contact with health professionals
• Contact with health professionals
about mental health
• Contact with dental professionals
Resources
• Health professionals (physicians, etc)
Indicator definitions are available in the Health Indicators e-Publication at
http://www.statcan.ca/english/freepub/82-221-XIE/free.htm or
http://secure.cihi.ca/indicators/2005/en/hlthind05_e.shtml
8
CIHI 2005
June 2005
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
Equity
Since the first consensus conference, equity, a cross-cutting dimension that applies to all
of the original dimensions included in the Health Indicator Framework, was added to the
framework. This was in response to suggestions from jurisdictions and the increasing focus
on equity both in Canada and internationally. The purpose of the discussion was to identify
priorities for operationalizing this dimension.
Initially, participants were asked to select areas where equity indicators were most needed,
and which of the potential factors (e.g. socioeconomic status, age, geography) should be
used to measure equity. It was noted that any analysis of the distribution of health and
health care must consider equity along a variety of dimensions, and that some indicators
were already being produced by gender or age group. Among the available socio-economic
measures, income was felt to be the most important, but others, including age, gender,
education, ethnicity, and rural/urban residency, were also supported. Conference
participants expressed unanimous support for applying equity measures across all
dimensions of the framework.
Health Indicators: Future Development
While two indicators were dropped, the desire for more indicators, not less, was clear from
this session. Based on a priority setting exercise, conference participants identified the
following indicator theme areas as of particular importance:
•
Home care
•
Patient safety
•
Emergency department care
•
Life-style and health-related behaviours
•
Community/social environment
•
Air/water quality
•
Food and waterborne disease
A complete list of indicators identified for future development is shown in Table 2.
Prioritizing those for reporting will depend on a number of factors including available
resources, quality and comparability of data, the identification of appropriate
methodological approaches, other jurisdictional initiatives, substitution discussions
(e.g. work stress versus decision latitude), and where information is currently in short
supply (e.g. continuity, environment). It was agreed that next steps would include
determining the feasibility of development and consideration of how those identified
complement the current list of indicators.
CIHI 2005
9
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
Table 2.
June 2005
Potential New Indicators
Health Status
Well-Being
• Oral health
• Premature births
Health Conditions
Human Function
Deaths
• Suicide attempts
• Allergies
• Abuse
Non-Medical Determinants of Health
Living and Working
Conditions
Health Behaviours
•
•
•
•
•
•
•
•
•
High risk for STDs
Problem gambling
Drug abuse
Underage drinking
Eating habits (beyond fruit
and vegetables)
Lifestyle changes to
improve health
Injury prevention
Sun safety
Sedentary activity
• Proportion of population
receiving social assistance
• Literacy levels
• Food insecurity
Personal Resources
•
•
•
•
•
Care-giver burden
Community belonging
Work stress
Quality of work life
Stress coping
mechanisms
• Social cohesion/networks
• Family connectedness and
child supports
Environmental Factors
• Outdoor air quality
• Smog advisory days
• Drinking water quality
Health System Performance
Acceptability
Patient satisfaction with:
• any health care services
received
• most recent hospital care
received
• most recent family doctor
or other physician care
received
• community-based health
care received
• telephone health line
services
Continuity
Accessibility
Appropriateness
•
•
•
•
•
Home care utilization
Home care unmet needs
Unmet health care needs
Waiting times
Colorectal cancer
screening
• % population who have a
regular family doctor
• % family physicians
accepting new patients
Competence
• Number and % of
palliative care patients
dying in an acute care
institution
• Prevalence of
inappropriate drug
interactions
Effectiveness
Efficiency
Safety
• 180-day stroke survival
• 365-day AMI survival
•
•
•
•
•
•
In-hospital hip fracture
Nosocomial infection rate
Post-operative infections
Birth trauma
Obstetric trauma
Medication/drug-related
problem
• Readmissions/admissions
Community and Health System Characteristics
Community
Health System
• Emergency department visits
10
Resources
•
•
•
•
Number of beds
Long Term Care utilization
I.T. infrastructure resources
Therapists (physiotherapy, speech,
occupational)
• Technicians
• Public health human resources
(e.g. nurses)
• Prescription drug spending
CIHI 2005
June 2005
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
Health Indicators In Action: Where We Are Today
Since Statistics Canada and CIHI released the first set of regional, provincial and territorial
health indicators in 2000, the indicators have been used for a variety of purposes. At the
consensus conference, participants described how health indicators have been applied in
their jurisdictions and the diverse audiences, such as analysts, health system managers,
senior government officials, boards and the public that have been involved.
•
Informing the Public and the Health Sector
Conference participants provided many examples of how health indicators are currently
being disseminated. These include health status and health system reports at the
local/regional/provincial/territorial/national levels. Indicators are frequently highlighted in
an assortment of print and electronic publications, such as annual reports; regional,
provincial or international comparative reports; community profiles; and benchmarking
or focused reports examining specific issues or health conditions. In addition, it was
reported that indicators are commonly used for Ministerial and board briefings, as well
as for presentation to audiences outside the health sector. Conference participants
reported that media releases and other communications tools targeted to the general
public often feature health indicators. Some participants cited the use of indicators for
drawing attention to important issues in focus groups or other public forums.
•
Performance Management, Monitoring, and Quality Improvement
Feedback from jurisdictions indicated that, more than ever before, health indicators play
a key role in performance management and monitoring, at both the health region and
provincial/territorial levels. Participants reported using indicators for the development of
scorecards or other Continuous Quality Improvement (CQI) tools; for review by quality
improvement committees; as part of performance agreements, local health monitoring
or accreditation; or to provide baselines to inform program or policy evaluation. Many
jurisdictions and researchers noted that health indicator data serve to identify priorities
for more in-depth analysis. Jurisdictions have also examined the indicators by peer
groups developed by Statistics Canada to determine, for example, if peer regions have
similar health outcomes.
•
Policy and Planning
As was revealed at the consensus conference, indicators now play a significant role in
setting priorities, strategic planning and resource allocation. Health indicators are
included in operational reviews and are used to identify important issues for future
consideration and planning. Participants reported that indicators play a vital role in
achieving accountability in the health system for regions, provinces and territories.
Some jurisdictions are able to augment indicators from the Health Indicators Project with
others that are available in their own regions, provinces or territories. These other sources
include hospital administrative/clinical data systems, surveys, or information from specific
programs. The Health Indicator Framework has also been used as the basis for reporting
and indicator selection.
CIHI 2005
11
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
June 2005
Moving Ahead: One Year Later and Beyond
Since the consensus conference, data from the second cycle of the Canadian Community
Health Survey (CCHS) have been released including a new indicator on breastfeeding
practices. The CCHS provides a valuable source for potential new indicators corresponding
to priority areas such as mental health and social well-being.
Statistics Canada has also explored the equity dimension through the calculation of healthadjusted life expectancy (HALE) by province and income tercile and work is underway to
produce this by health region as well. Other initiatives include examining the feasibility of
adding air quality measures to the environmental sub-dimension of the framework.
In addition, CIHI introduced a new indicator related to quality of care in acute care
institutions, namely hip fractures that occur in hospital, and is testing a broad range of
other patient safety indicators and non-acute care indicators. Some indicators, such as the
rate of Caesarean sections have been examined by household income level.
Other initiatives will also contribute to the information included in the Health Indicators
Project in the future. For example, work is underway at CIHI on the development of a
Home Care Reporting System (HCRS), which will function as a repository for clinical,
administrative and resource data. The National Prescription Drug Utilization Information
System (NPDUIS), also currently under development, is envisaged as a pan-Canadian
information system housing information related to Drug Benefit Formularies, drug claims,
drug plans and population statistics. In addition, CIHI is collaborating with a variety of
stakeholders to better understand wait times for selected procedures. Conference
participants also discussed the development of community-level indicators, an endeavor
which will benefit from work commissioned by the Canadian Population Health Initiative to
highlight perspectives on the development of a healthy community index.
The Health Indicators Project has also modified reporting to keep up-to-date with the most
recent changes in health region boundaries, notably those of Alberta, Newfoundland and
Labrador, and Ontario. In the latter two provinces, Regional Integrated Health Authorities
and Local Health Integration Networks, respectively, were introduced in April 2005.
The Health Indicators Project continues to evolve. New indicators will be developed as data
become available and as other priorities emerge. Workshops continue to be held across the
country to assist jurisdictions with the use, interpretation and analysis of existing indicator
data. We look forward to the next five years.
12
CIHI 2005
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
June 2005
Appendix—Participants
Name
Region/Organization
Ardal
Bains
Barclay
Beaumont
Boak
Bourdages
Boyne
Brossard
Campbell
Catlin
Chard
Choinière
Clarke
Crockett
Dale
Daveluy
Diener
Dovell
Doze
Émond
Ferland
Fey
Findlater
Finlayson
Finlayson
Flemons
Gates
Gillam
Gold
Greenberg
Hamel
Heidemann
Heng
Ingram
Kirtzinger
Kouri
Labbé
Sten
Nam
Kevin
Martin
Marg
Josee
John
Bonnie
Maggie
Gary
Loretta
Robert
Beverley
Susan
Vincent
Carole
Tania
Ron
Sandra
Aline
Marc
Doreen
Ross
Mary Anne
Greg
W. Ward
Kayla
Susan
Michelle
Anna
Marc
Elma
Denis
Suzan
Brenda
Denise
Johanne
LaBine
LeBrun
Lee
MacDonald
MacDonald
MacDonald
Malone
Steve
Scott
Karen
Madonna
Don
Jane
Lorna
CIHI 2005
Central East Health Information Partnership
Health Information Partnership—Eastern Ontario Region
Champlain District Health Council
Canadian Council on Health Services Accreditation
Capital District Health Authority (DHA#9)
Ministère de la Santé et des Services sociaux, Québec
New Brunswick Health and Wellness
Health Quality Council Saskatchewan
Parkland Regional Health Authority
Statistics Canada
Newfoundland and Labrador Dept. of Health and Community Services
Institut national de santé publique du Québec
Health and Community Services—St. John’s Region
Nor-Man Regional Health Authority
Statistics Canada
Institut de la statistique du Québec
Regina Qu’Appelle Regional Health Authority (RHA #4)
Interior Health Authority
David Thompson Regional Health Authority (RHA #4)
Régie régionale de la santé et des services sociaux de l’Estrie, Sherbrooke
Direction Regionale de sante publique de la capitale regionale
Interlake Regional Health Authority
Saskatchewan Health
Nova Scotia Department of Health
Manitoba Centre for Health Policy
Calgary Health Region (RHA #3)
Newfoundland and Labrador Centre for Health Information
Western Regional Health and Community Services Board
Hamilton District Health Council
Cancer Care Ontario
Statistics Canada
Canadian Council on Health Services Accreditation
Centre for Rural Northern Health Research
Statistics Canada
Prairie North Regional Health Authority (RHA #10)
Canadian Centre for Analysis of Regionalization and Health
Service de la surveillance de l’état de santé, Direction générale de la
santé publique
Prince Albert Parkland Regional Health Authority #9
Health Canada, Ottawa
Capital Health Authority (RHA #6)
Guysborough Antigonish-Strait Health Authority (DHA #7)
Newfoundland and Labrador Centre for Health Information
Canadian Nurses Association
Canadian Population Health Initiative
13
The Health Indicators Project: The Next 5 Years
Report from the Second Consensus Conference on Population Health Indicators
Name
Manuel
Mao
McMullan
Meyer
Millar
Moffatt
Nagpal
Nalezyry
Ness
Paddock
Palaniappan
Pearson
Phillips
Pilkey
Pong
Porter
Pulcins
Sauvageau
Schopflocher
Séguin
Shahab
Spidel
Stockdale
Stranc
Svendsen
Thomson
Vail
Wannell
Wardle
Webster
Wen
White
Wilson
Wolfe
Wolfson
Zelmer
14
June 2005
Region/Organization
Doug
Yang
Colin
Cathy
John
Michael
Seema
Lee-Ann
Kathleen
Kathie
Uma
Dave
Robin
Dennis
Raymond
Joan
Indra
Yves
Donald
Michel
Saqib
Mark
Donna
Leonie
Kristine
Alan
Stephen
Brenda
Gavin
Greg
Eugene
Beverley
Elinor
Heather
Michael
Jennifer
Institute for Clinical Evaluative Sciences
Health Canada
Central West Health Planning Information Network
Chinook Regional Health (RHA #1)
Provincial Health Services Authority
Winnipeg Regional Health Authority
Canadian Medical Association
Northwestern Ontario District Health Council
Capital Health Authority (RHA #6)
Canadian Healthcare Association
Canadian Population Health Initiative
Muskoka Nipissing Parry Sound and Timiskaming District Health Council
Prince Edward Island Health and Social Services
Nova Scotia Department of Finance
Centre for Rural Northern Health Research
Canadian Institute for Health Information
Canadian Institute for Health Information
Direction de santé publique de la Montérégie
Alberta Health and Wellness
Statistics Canada
Sunrise Health Region (RHA #5)
Kings Health Region
Mamawetan Churchill River Regional Health Authority
Manitoba Health
Regional Health Authority—Central Manitoba Inc.
British Columbia Ministry of Health
Canadian Medical Association
Statistics Canada
Ontario Ministry of Health and Long-Term Care
Canadian Institute for Health Information
Canadian Institute for Health Information
Health and Community Services—Central Region
Canadian Public Health Association
Colchester East Hants District Health Authority (DHA #4)
Statistics Canada
Canadian Institute for Health Information
CIHI 2005
www.cihi.ca
Taking health information further
www.icis.ca
À l’avant-garde de l’information sur la santé